Patient-Controlled Biofeedback Device for the Treatment of Fecal Incontinence: A Pilot Study

Although biofeedback has been used as a first-line therapy for fecal incontinence, it is known to be time consuming and demands attendance to a hospital during the whole period of treatment. In this study, we describe a new biofeedback device specifically developed for home treatment of fecal incont...

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Bibliographic Details
Published in:Applied psychophysiology and biofeedback 2017-06, Vol.42 (2), p.133-137
Main Authors: Damin, Daniel C., Hommerding, Felipe, Schirmer, Delber, Sanches, Paulo R. S., Silva Junior, Danton P., Müller, André F., Thome, Paulo R. O.
Format: Article
Language:English
Subjects:
Aged
Anal Canal - physiopathology
Behavioral Science and Psychology
Biofeedback
Biofeedback training
Biofeedback, Psychology - methods
Care and treatment
Fecal incontinence
Fecal Incontinence - physiopathology
Fecal Incontinence - therapy
Feces
Feedback
Female
Health Psychology
Humans
Medical research
Medicine, Experimental
Middle Aged
Patients
Pelvic Floor - physiopathology
Pilot Projects
Pressure
Psychology
Psychotherapy and Counseling
Public Health
Treatment Outcome
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Summary:Although biofeedback has been used as a first-line therapy for fecal incontinence, it is known to be time consuming and demands attendance to a hospital during the whole period of treatment. In this study, we describe a new biofeedback device specifically developed for home treatment of fecal incontinence, which consists of a microprocessor controlled unit able to register and store the anal pressure waves corresponding to exercises performed by patients at home. In order to test the new device, a pilot study including ten patients with fecal incontinence was conducted. Evaluation of patients before and after the biofeedback training showed significant improvement in manometric and clinical parameters of anal continence. The new method may improve compliance of patients with the training program and reduce their need to be supervised during the treatment. It might represent a new alternative for the treatment of fecal incontinence.
ISSN:1090-0586
1573-3270
DOI:10.1007/s10484-017-9352-6